MRS. MARY ANN OSTENDORF (NPI# 1417161381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417161381 |
| Entity Type | Individual |
| Full Name | MRS. MARY ANN OSTENDORF |
| Credential | CMF |
| Practice Address |
755 W Galena Ave Freeport IL 61032-0655 |
| Mailing Address |
Po Box 655 Freeport IL 61032-0655 |
| Practice Telephone | 8152351551 |
| Mailing Telephone | 8152351551 |
| Mailing Fax Number | 8152351551 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2009-01-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | 08932008 | 01 |
| Street Address |
755 W GALENA AVE |
| City | FREEPORT |
| State | IL |
| Zip Code | 61032-0655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023275419 | Lavendar N Lace | Durable Medical Equipment & Medical Supplies | 755 W Galena Ave, Freeport, IL 61032-3975 | 2008-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517713 | Saad Awan | Pharmacist | 2545 Illinois 26 S, Freeport, IL 61032 | 2020-10-30 |
| 1891354460 | Freeport Chiropractic LLC | Chiropractor | 2 W Stephenson St, Freeport, IL 61032 | 2019-06-07 |
| 1487168373 | Lindsey Rae Harris-baker | Speech-Language Pathologist | 1802 W Laurel St, Freeport, IL 61032 | 2017-11-30 |
| 1861871246 | Pearl Pavilion LLC | Skilled Nursing Facility | 910 Kiwanis Drive, Freeport, IL 61032 | 2015-05-19 |
| 1245584598 | Mary E Brown | Massage Therapist | 815 W. Pleasant Street, Freeport, IL 61032 | 2012-11-07 |
| 1700135803 | April Braband | Specialist | 421 Exchange, Freeport, IL 61032 | 2012-09-05 |
| 1518198662 | Quad City Prosthetic Inc | Prosthetic/Orthotic Supplier | 1013 W Loras Dr, Suite A, Freeport, IL 61032 | 2009-08-06 |
| 1447486501 | Gary Alan Besley | Dentist | 1450 S. West Ave., Freeport, IL 61032 | 2009-06-03 |
| 1023244290 | Allies In Health Sc | Chiropractor | 418 W Meadows Dr., Freeport, IL 61032 | 2009-06-02 |
| 1912146614 | Kayla Nicole Rodebaugh | Specialist/Technologist | 1010 Fairway Drive, Freeport, IL 61032 | 2009-02-19 |
| Find all providers in zip 61032 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477013670 | Medbot, Inc | Orthotic Fitter | 856 W Nelson St Apt 1006, Chicago, IL 60657-5103 | 2019-03-22 |
| 1780198887 | Miomed Orthopaedics, Inc. | Orthotic Fitter | 2502 N Clark St Ste 207, Chicago, IL 60614-1850 | 2017-11-28 |
| 1659802718 | Gee Patel | Orthotic Fitter | 1347 Lorraine Pl, Schaumburg, IL 60173-6178 | 2017-03-21 |
| 1649715764 | Miomed Orthopaedics, Inc. | Orthotic Fitter | 2502 North Clark Street, Suite 207, Chicago, IL 60614 | 2016-12-28 |
| 1295967610 | Debra Ann Davis | Orthotic Fitter | 610 S Western Ave, Chicago, IL 60612-3531 | 2009-08-18 |
| 1992950398 | Robert Joseph Snider | Orthotic Fitter | 1 Linda Vista Dr, Belleville, IL 62221-4067 | 2008-11-26 |
| 1679724322 | Denise Elaine Washington | Orthotic Fitter | 22053 Neptune Ln, Richton Park, IL 60471-3107 | 2008-09-30 |
| 1275667115 | Dennis Wayne Dillard | Orthotic Fitter | 741 W Main St, Peoria, IL 61606-2017 | 2007-03-15 |
| 1093840613 | Michael Darryl Hoffman | Orthotic Fitter | 7640 Plaza Ct, Willowbrook, IL 60527-5607 | 2007-02-22 |
| 1053341883 | Jane Candace Rago | Orthotic Fitter | 800 N. 1st, Springfield, IL 62702 | 2006-07-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.